Based on public Medicaid payment data.
Samson Liu
Medicaid Provider in Weldon Springs, MO
Type
Individual Provider
Address
810 O'Fallon Rd
Weldon Springs, MO 633046330
Phone
6362444052
NPI
1568501955
Procedures
1
Total Claims
170
Patients Served
166
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $28.24 | 170 | 166 |
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